Provider Demographics
NPI:1306232590
Name:LEYDA, MEGAN ELISE (OD)
Entity type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:ELISE
Last Name:LEYDA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:MEGAN
Other - Middle Name:ELISE
Other - Last Name:HEFFELFINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:9224 DARROW RD
Mailing Address - Street 2:SUITE N, O, P
Mailing Address - City:TWINSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:44087-1897
Mailing Address - Country:US
Mailing Address - Phone:330-425-2020
Mailing Address - Fax:330-425-2269
Practice Address - Street 1:9224 DARROW RD
Practice Address - Street 2:SUITE N, O, P
Practice Address - City:TWINSBURG
Practice Address - State:OH
Practice Address - Zip Code:44087-1897
Practice Address - Country:US
Practice Address - Phone:330-425-2020
Practice Address - Fax:330-425-2269
Is Sole Proprietor?:No
Enumeration Date:2015-04-14
Last Update Date:2016-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOPT.6380-THER152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist